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A Study for the Participants With Metastatic Hormone Sensitive Prostate Cancer (mHSPC) Treated With Androgen Deprivation Therapy (ADT) Plus Apalutamide or Enzalutamide

Recruiting
Conditions
Metastatic Hormone-sensitive Prostate Cancer
Interventions
Registration Number
NCT05901649
Lead Sponsor
Janssen-Cilag Ltd.
Brief Summary

The purpose of this study is to assess the real-world outcomes differences between apalutamide or enzalutamide plus androgen deprivation therapy (ADT) for the treatment of participants with metastatic hormone-sensitive prostate cancer (mHSPC).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
450
Inclusion Criteria
  • Must have a histologically or cytologically-confirmed diagnosis of adenocarcinoma of the prostate
  • Must have documented metastatic hormone-sensitive prostate cancer (mHSPC)
  • Must have agreed with the treating physician the initiation of either apalutamide or enzalutamide (plus androgen deprivation therapy [ADT]) treatment, per the treating physician's decision, prior to enrollment into the study
  • Must sign, and/or their legally acceptable representative where applicable must sign, a participation agreement/ informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements
  • Must have baseline prostate-specific antigen (PSA) captured within 30 days prior to the first administration of apalutamide or enzalutamide
  • Must agree to complete patient-reported outcomes (PROs) during the study, including the baseline ones collected before the first administration of apalutamide or enzalutamide
Exclusion Criteria
  • Has already received or is currently receiving either apalutamide or enzalutamide, or any other novel hormonal treatments (including but not limited to abiraterone acetate and darolutamide)
  • Is currently receiving an active treatment for prostate cancer as part of an interventional study
  • Has a progression under ADT treatment (and thus became castrate-resistant) prior to start of apalutamide or enzalutamide treatment
  • Has received ADT treatment for mHSPC for more than 2 months prior to apalutamide or enzalutamide treatment initiation or ADT treatment was administered for earlier disease stages within the last 12 months prior to apalutamide or enzalutamide treatment initiation
  • Has received prior docetaxel for the treatment of mHSPC
  • Participants is not treated in line with current Summary of Product Characteristics for apalutamide or enzalutamide

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Apalutamide Plus Androgen Deprivation Therapy (ADT)ApalutamideParticipants with metastatic hormone-sensitive prostate cancer (mHSPC) will be observed who are being treated with apalutamide under clinical practice setting. Only data available per routine clinical practice will be collected within this study.
Enzalutamide Plus Androgen Deprivation Therapy (ADT)EnzalutamideParticipants with metastatic hormone-sensitive prostate cancer (mHSPC) will be observed who are being treated with enzalutamide under clinical practice setting. Only data available per routine clinical practice will be collected within this study.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Prostate-specific Antigen (PSA) Level <0.2 ng/mL at Month 3At month 3

Percentage of participants with PSA level less than (\<)0.2 nanogram per milliliter (ng/mL) at month 3 will be reported.

Cognitive Functioning as Assessed by Partial Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) QuestionnaireUp to 30 Months

Cognitive function of the participants will be measured by the partial FACT-Cog (Version 3) questionnaire. The FACT-Cog score ranges from scale 0-148. The higher the total score, the better the cognitive function.

Health-Related Quality of Life (HRQoL) as Assessed by Partial European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) QuestionnaireUp to 30 Months

HRQoL of the participants will be assessed as partial EORTC QLQ-C30 questionnaire. EORTC QLQ-C30 scale scores range from 0 to 100. A high score for a functional scale represents a high level of functioning, whereas a high score for a symptom scale/single item represents a high level of symptom.

Fatigue as Assessed by Brief Fatigue Inventory-Short Form (BFI-SF) QuestionnaireUp to 30 Months

Participant fatigue will be assessed by the BFI-SF questionnaire. The BFI-SF score range from scale 0-10. Scores are categorized as Mild (1-3), Moderate (4-6), and Severe (7-10).

Prostate-specific Antigen (PSA) Anxiety as Assessed by Memorial Anxiety Scale for Prostate Cancer (MAX-PC) QuestionnaireUp to 30 Months

PSA anxiety of the participant will be assessed by the MAX-PC questionnaire. The MAX-PC total score ranges from scale 0 to 54. The MAX-PC is divided into three subscales: a) prostate cancer anxiety (PCA) range from 0 to 33, b) Prostate-Specific Antigen Anxiety (PSAA) ranges from 0 to 9, and c) fear of recurrence (FOR) ranges from 0 to 12.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (53)

Alexandra General Hospital of Athens

🇬🇷

Athina, Greece

Hosp Univ A Coruna

🇪🇸

A Coruna, Spain

Hosp. Univ. de Canarias

🇪🇸

La Laguna, Spain

Royal Cornwall Hospitals NHS Trust - Royal Cornwall Hospital

🇬🇧

Cornwall, United Kingdom

Torbay Hospital-Devon

🇬🇧

Devon, United Kingdom

Dorset County Hospital Nhs Foundation Trust

🇬🇧

Dorchester, United Kingdom

Royal Surrey County Hospital NHS Trust

🇬🇧

Guildford, United Kingdom

University College London Hospitals Nhs Foundation Trust

🇬🇧

London, United Kingdom

Royal Free London NHS Foundation Trust

🇬🇧

London, United Kingdom

Pennine Care Nhs Foundation Trust

🇬🇧

Oldham, United Kingdom

Scunthorpe General Hospital

🇬🇧

Scunthorpe, United Kingdom

Taunton and Somerset NHS Foundation Trust

🇬🇧

Taunton, United Kingdom

University Hospitals Sussex NHS Foundation Trust Worthing Hospital

🇬🇧

Worthing, United Kingdom

CHU Nimes

🇫🇷

Nimes, France

Klinikum Wels Grieskirchen

🇦🇹

Wels, Austria

Hopital Europeen Georges-Pompidou

🇫🇷

Paris, France

St. Elisabeth Hospital Leipzig

🇩🇪

Dresden, Germany

Urologicum Duisburg

🇩🇪

Duisburg, Germany

Krankenhaus Barmherzige Brüder Regensburg

🇩🇪

Regensburg, Germany

Attikon University General Hospital of Attica

🇬🇷

Athens, Greece

Akh Wien

🇦🇹

Wien, Austria

Clinique Pasteur- Lanroze

🇫🇷

Brest, France

Institut Bergonie

🇫🇷

Bordeaux, France

Polyclinique Bordeaux Nord Acquitaine

🇫🇷

Bordeaux, France

Hopital Michallon CHU Grenoble Alpes

🇫🇷

La Tronche, France

Hopital Tenon

🇫🇷

Paris, France

Hopital Foch

🇫🇷

Suresnes, France

Universitaetsklinikum Muenster

🇩🇪

Muenster, Germany

Anticancer Oncology Hospital of Athens Agios Savvas

🇬🇷

Athens, Greece

University General Hospital of Rio Patras

🇬🇷

Patras, Greece

Hosp. Univ. Lucus Augusti

🇪🇸

Lugo, Spain

Hosp Regional Univ de Malaga

🇪🇸

Malaga, Spain

Urologisches Zentrum Mittelhessen

🇩🇪

Gladenbach, Germany

Centre Hospitalier Rene Dubos Pontoise

🇫🇷

Pontoise, France

Centre Hospitalier Prive

🇫🇷

Saint-Grégoire, France

Urologie Dierdorf

🇩🇪

Dierdorf, Germany

University Hospital of Heraklion

🇬🇷

Heraklion, Greece

Hosp. Torrecardenas

🇪🇸

Almería, Spain

Hosp. Puerta Del Mar

🇪🇸

Cádiz, Spain

Institut Sainte Catherine

🇫🇷

Avignon, France

Hôpital Edouard Herriot

🇫🇷

Lyon, France

Centre d'oncologie de Gentilly

🇫🇷

Nancy, France

CHU de Toulouse

🇫🇷

Toulouse cedex 9, France

Universitatsmedizin der Johannes Gutenberg Universitat Mainz

🇩🇪

Mainz, Germany

General Oncology Hospital of Kifisias "Agioi Anargyroi

🇬🇷

Athens, Greece

Papageorgiou General Hospital Of Thessaloniki

🇬🇷

Thessaloniki, Greece

Hosp. Gral. Univ. de Castellon

🇪🇸

Castellon, Spain

Clinique de la Croix du Sud

🇫🇷

Quint-Fonsegrives, France

Clinique Sainte Anne

🇫🇷

Strasbourg, France

Praxis Dr. Serkan Filiz

🇩🇪

Hamburg, Germany

Hosp. Clinico Univ. de Santiago

🇪🇸

Santiago de Compostela, Spain

Hosp. Univ. I Politecni La Fe

🇪🇸

Valencia, Spain

Frimley Health NHS Foundation Trust

🇬🇧

Berkshire, United Kingdom

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